4/23/25 part 2

Overview of Patient Management Before Surgery

• Systems Assessment
  • Evaluate neurological, respiratory, cardiovascular systems.
  • Utilize CPAP/BiPAP as necessary to prevent respiratory complications.

Patient Preparation Protocols

• Ensure work is documented in the chart.
• Report findings to the physician or surgeon.

Considerations for Special Populations

• Geriatric Patients
• Bariatric Patients
• Patients with Disabilities
  • Assess need for special equipment (e.g. beds, positioning devices).
  • Adjust positioning to mitigate respiratory complications.

Surgical Environment Preparation

• Review preoperative preparations with patients.
• Educate patients about the surgical environment and procedures.
• Highlight the importance of infection prevention methods.

Strategies for Smoking Cessation

• Address smoking history in patient records (e.g., 37 years of smoking reported).
• Provide resources and strategies for cessation.

Patient Understanding

• Ensure patients fully comprehend what to expect during surgery.
• Confirm awareness of any pain management strategies, including sedation methodologies.

Sedation and Medication

• Review chart for medication details related to sedation.
• Understand the difference between various sedative medications (e.g., conscious sedation procedures).

Incision Details

• Record the number and location of surgical incisions.
• Important for recovery tracking and potential complications.

Awareness of Medical Comorbidities

• Example: Mr. Sanchez, a smoker, requires consideration for related risks.
• Assess potential complications based on medical history and surgical procedures.

Postoperative Care and Physical Therapy

• Discuss expectations for physical therapy involvement post-surgery (e.g., BKA)
• Example: Inquiry about the timeline for physical therapy ambulation after surgery.

Monitoring Complications

• Evaluate potential complications based on patient history and surgical recovery.
• Example: Quick response in cases of abnormal blood sugar levels (e.g., 32 mg/dL).

Conclusion

• Emphasis on patient safety and proactive management of surgical processes and patient conditions.